1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Internal Medicine
  6. NPI Profile

DR. OMAR HANI ELSAYED-ALI MD
NPI 1174064596
Internal Medicine - Allergy & Immunology in Saint Louis, MO

Active since March 17, 2017PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
5201 MID AMERICA PLZ, DIV IM ALLERGY AND IMMUNOLOGY, STE 2300, SAINT LOUIS, MO 63129(314) 996-8670(866) 362-4984 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Omar Hani Elsayed-ali Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OMAR HANI ELSAYED-ALI MD (NPI 1174064596) is an individual allergy & immunology provider in Saint Louis, Missouri, licensed in Missouri (2019034401) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Vanderbilt University School Of Medicine (2017).

NPPES Registry Identity

NPI1174064596
Entity TypeIndividualMale
Primary Taxonomy207RA0201X
Provider Legal NameDR. OMAR HANI ELSAYED-ALICredential: MD
Location Address5201 MID AMERICA PLZ, DIV IM ALLERGY AND IMMUNOLOGY, STE 2300Saint Louis, MO 63129-0002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 996-8670 · Fax (866) 362-4984
Phone(314) 996-8670
Fax(866) 362-4984
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2017
Enumeration DateMarch 17, 2017
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
✔ NPI 1174064596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
License✔ Licensed in MO · 2019034401
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2019034401 (MO)
Also ListedPediatricsTaxonomy 208000000X · License 2019034401 (MO)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 2019034401 (MO)
5201 MID AMERICA PLZ, Saint Louis, MO 63129
Open in Google Maps ↗

Other Identifiers 1

Medicaid200084426MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Omar Hani Elsayed-ali Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355763202
PECOS Enrollment IDI20200622002594
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
551 services13 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
194 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KOUSHIK KUMAR DAS MD
Internal Medicine (Gastroenterology)
5201 MID AMERICA PLZ, DIV IM GASTROENTEROLOGY, STE 2300
SAINT LOUIS, MO 63129
St. Louis County (314) 747-2066
DR. BRANDEN EDWARD YEE MD
Anesthesiology
5201 MID AMERICA PLZ, DEPT ANESTHESIOLOGY, STE 1300
SAINT LOUIS, MO 63129
St. Louis County (800) 862-9980
MR. RYAN J VALLO PA
Physician Assistant
5201 MID AMERICA PLZ, DEPT ORTHOPAEDIC SURG, STE 1500
SAINT LOUIS, MO 63129
St. Louis County (314) 514-3500
MS. SENADA FENELON AGNP
Nurse Practitioner (Gerontology)
5201 MID AMERICA PLZ, DIV IM RHEUMATOLOGY, STE 2300
SAINT LOUIS, MO 63129
St. Louis County (314) 286-2635
DR. ANGELA JOANN DEMETRULIAS OD
Optometrist
5201 MID AMERICA PLZ, DIV OPTHALMOLOGY, STE 2500
SAINT LOUIS, MO 63129
St. Louis County (314) 273-0020
DR. STEVEN A LAUTER MD
Internal Medicine (Rheumatology)
5201 MID AMERICA PLZ
SAINT LOUIS, MO 63129
St. Louis County (314) 514-3500
DR. OSLER JAY JUSTO GUZON MD
Internal Medicine (Cardiovascular Disease)
5201 MID AMERICA PLZ, DIV IM CARDIOLOGY, STE 2300
SAINT LOUIS, MO 63129
St. Louis County (314) 362-1291
DR. NICOLE MARIE DUCHARME DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5201 MID AMERICA PLZ, DIV IM ENDOCRINOLOGY
SAINT LOUIS, MO 63129
St. Louis County (314) 362-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omar Elsayed-ali's NPI number?

The NPI number for Omar Elsayed-ali is 1174064596. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Where is Omar Elsayed-ali located?

Omar Elsayed-ali practices at 5201 Mid America Plz Div Im Allergy And Immunology, Ste 2300, Saint Louis, MO 63129. The listed phone number is (314) 996-8670.

What is Omar Elsayed-ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Omar Elsayed-ali enrolled in Medicare?

Yes. Omar Elsayed-ali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Omar Elsayed-ali accept?

Health plans from Cox HealthPlans list Omar Elsayed-ali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Omar Elsayed-ali affiliated with any hospitals?

According to CMS data, Omar Elsayed-ali is affiliated with Barnes Jewish Hospital, Barnes-Jewish West County Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Omar Elsayed-ali was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.